Robotic omentopexy following sleeve gastrectomy: technique and early outcomes in 65 consecutive patients

Staple-line complications after sleeve gastrectomy remain a technical concern. Omentopexy offers an extraluminal support of the gastric sleeve without direct staple-line manipulation. This report shares our experience in using a robotic platform to facilitate and standardized the technique. A retrospective analysis was conducted of patients undergoing robotic sleeve gastrectomy with concomitant omentopexy. Sixty-five patients (64.6% female); median age 47 years, with mean body mass index of 44.7 ± 4.4 kg/m², underwent robotic sleeve gastrectomy with omentopexy. The omentopexy added a mean of 15.5 min to operative time. Median length of stay was 1.3 days, reflecting institutional policy. There were no intraoperative, perioperative, or 30-day complications, readmissions, or reoperations. Robotic omentopexy is a safe, reproducible adjunct to sleeve gastrectomy that adds minimal operative time and provides physiologic extraluminal support. Further studies are needed to assess long-term outcomes.